Rodriguez Torrecilla Llc | |
1611 Nw 12th Ave Suite # C150 Miami FL 33136-1005 | |
(305) 585-3627 | |
(305) 585-3322 |
Full Name | Rodriguez Torrecilla Llc |
---|---|
Speciality | Internal Medicine |
Location | 1611 Nw 12th Ave, Miami, Florida |
Authorized Official Name and Position | Orlando D Rodriguez (PRESIDENT) |
Authorized Official Contact | 9544320578 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rodriguez Torrecilla Llc 2423 Sw 147th Ave Ste 120 Miami FL 33185-4082 Ph: () - | Rodriguez Torrecilla Llc 1611 Nw 12th Ave Suite # C150 Miami FL 33136-1005 Ph: (305) 585-3627 |
NPI Number | 1053607143 |
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Provider Enumeration Date | 06/27/2011 |
Last Update Date | 02/27/2024 |
Medicare PECOS PAC ID | 4688805179 |
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Medicare Enrollment ID | O20140326001597 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053607143 | NPI | - | NPPES |
ME99115 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME99115 (Florida) | Primary |
Provider Name | Orlando D Rodriguez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952502825 PECOS PAC ID: 6608945753 Enrollment ID: I20080515000574 |
Provider Name | Ali M Garcia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679750335 PECOS PAC ID: 5092880674 Enrollment ID: I20080815000406 |
Provider Name | Marco Antonio Arias |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720483431 PECOS PAC ID: 3274837604 Enrollment ID: I20160205000650 |
Provider Name | Sergio Hernandez Borges |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043600414 PECOS PAC ID: 7012203458 Enrollment ID: I20161119000046 |
Provider Name | Randolph Thomas Borrero |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467871863 PECOS PAC ID: 1153620059 Enrollment ID: I20180215000734 |
Provider Name | Luis Hernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144527466 PECOS PAC ID: 9830340645 Enrollment ID: I20181116001546 |
Provider Name | Stephanie Mayoral |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134562473 PECOS PAC ID: 7012252273 Enrollment ID: I20181218000203 |
Provider Name | Elieser Gonzalez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1780068809 PECOS PAC ID: 9234471434 Enrollment ID: I20190508000233 |
Provider Name | Fernando E Melgar Somoza |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447882907 PECOS PAC ID: 4183052921 Enrollment ID: I20200310001560 |
Provider Name | Noel Garcia Acosta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457884868 PECOS PAC ID: 8820369200 Enrollment ID: I20210302001546 |
Provider Name | Janey Garcia Oviedo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568957298 PECOS PAC ID: 9830593789 Enrollment ID: I20210813002536 |
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